{"id":6011,"date":"2021-03-18T17:49:38","date_gmt":"2021-03-18T16:49:38","guid":{"rendered":"https:\/\/blog.avinent.com\/?p=1231"},"modified":"2024-11-20T12:38:54","modified_gmt":"2024-11-20T11:38:54","slug":"implante-unitario-biomimetic-iceberg-inmediato","status":"publish","type":"post","link":"https:\/\/avinent.com\/ca\/blog\/implante-unitario-biomimetic-iceberg-inmediato\/","title":{"rendered":"Implante unitario Biomimetic Iceberg inmediato"},"content":{"rendered":"\n\t\t\t\t\n

Introducci\u00f3n<\/strong><\/p>\n\n\n\n

Con el nuevo implante Biomimetic Iceberg<\/strong>, Avinent amplia su gama de soluciones quir\u00fargicas para adaptarse mejor a todas las situaciones cl\u00ednicas.<\/p>\n\n\n\n

El dise\u00f1o Biomimetic Iceberg presenta las caracter\u00edsticas ideales para realizar rehabilitaciones implantoprot\u00e9sicas respetando la biolog\u00eda de los tejidos duros y blandos y favoreciendo su crecimiento, adem\u00e1s de la est\u00e9tica. La morfolog\u00eda convergente de su parte transmucosa, sin \u00e1ngulos ni aristas, permite el crecimiento y el sellado del tejido mucoso sobre el titanio, consiguiendo el perfil de adaptaci\u00f3n establecido durante la planificaci\u00f3n del caso. <\/p>\n\n\n\n

Caso cl\u00ednico<\/strong><\/h2>\n\n\n\n

Presentamos un caso de un paciente de 57 a\u00f1os que acudi\u00f3 a la consulta por movilidad de la pieza 14. Tras la exploraci\u00f3n y las pruebas complementarias, se observ\u00f3 una fractura coronal no reconstruible de la pieza.<\/p>\n\n\n\n

  • \"\"
    Im\u00e1genes iniciales del caso<\/figcaption><\/figure><\/li>
  • \"\"

    Im\u00e1genes iniciales del caso <\/figcaption><\/figure><\/li><\/ul>\n\n\n\n
    \"TAC
    TAC de exploraci\u00f3n<\/figcaption><\/figure>\n\n\n\n

    Tras la fase diagn\u00f3stica se le explic\u00f3 al paciente el plan de tratamiento que consistir\u00eda en una exodoncia atraum\u00e1tica de la pieza 14 y la colocaci\u00f3n de un implante inmediato Avinent Biomimetic ICEBERG, la regeneraci\u00f3n del gap vestibular y una corona unitaria con carga inmediata.<\/p>\n\n\n\n

    Se comprob\u00f3 que se dispon\u00eda\nde hueso basal suficiente para conseguir una buena estabilidad primaria del\nimplante. Se planific\u00f3 la cirug\u00eda y se procedi\u00f3 a tomar registros de color para\nla elaboraci\u00f3n del provisional en c\u00e1scara de huevo. <\/p>\n\n\n\n

    \"Prueba
    Prueba de color de la pr\u00f3tesis provisional<\/figcaption><\/figure>\n\n\n\n

    La cirug\u00eda se realiz\u00f3 bajo anestesia local, inici\u00e1ndose con la exodoncia de la pieza 14 y realizando un legrado minucioso del alveolo. Se comprob\u00f3 que la tabla vestibular se encontraba intacta.<\/p>\n\n\n\n

    Se prepar\u00f3 el lecho para anclar\nel implante en la regi\u00f3n \u00f3sea palatina y as\u00ed conseguir buena estabilidad\nprimaria alej\u00e1ndose de la tabla vestibular y dejando un gap que ser\u00eda\nposteriormente rellenado con xenoinjerto.<\/p>\n\n\n\n

    • \"\"
      Detalle de la exodoncia y el alveolo<\/figcaption><\/figure><\/li>
    • \"\"

      Detalle de la exodoncia y el alveolo <\/figcaption><\/figure><\/li><\/ul>\n\n\n\n
      • \"\"

        Implante Biomimetic Iceberg <\/figcaption><\/figure><\/li>
      • \"\"

        Vista del implante colocado <\/figcaption><\/figure><\/li><\/ul>\n\n\n\n

        Se opt\u00f3 por colocar un Implante\nAvinent Biomimetic ICEBERG de 4×11,5mm, ya que el grosor de enc\u00eda vertical del\npaciente era de 4mm, de manera que permit\u00eda colocar el implante a nivel \u00f3seo y\nconseguir un sellado de los tejidos blandos alrededor del cuello pulido del\nimplante.<\/p>\n\n\n\n

        Se consigui\u00f3 un torque de\ninserci\u00f3n de 35Ncm y en el mismo acto quir\u00fargico se uni\u00f3 al implante un pilar\nde titanio antirotatorio para elaborar un provisional inmediato atornillado.<\/p>\n\n\n\n

        \"Imagen
        Imagen del provisional de titanio atornillado al implante post-colocaci\u00f3n<\/figcaption><\/figure>\n\n\n\n

        Mediante composite flow fotopolimerizable\n(Tetric EvoFlow, Ivoclar Vivadent) se realiz\u00f3 la captura del provisional en\nboca, para conseguir una mejor adaptaci\u00f3n.<\/p>\n\n\n\n

        \"Detalle
        Detalle de la preparaci\u00f3n de la corona provisional inmediata<\/figcaption><\/figure>\n\n\n\n

        En ese mismo momento se model\u00f3 el perfil de emergencia deseado.<\/p>\n\n\n\n

        Previamente a la colocaci\u00f3n\nde la corona provisional, se procedi\u00f3 a rellenar el gap vestibular con xenoinjerto\nen bloque para evitar, siguiendo los protocolos de regeneraci\u00f3n inmediata, el\ncolapso de la tabla vestibular.<\/p>\n\n\n\n

        • \"\"
          Provisional inmediato personalizado con composite<\/figcaption><\/figure><\/li>
        • \"\"

          Regeneraci\u00f3n del alveolo post-extracci\u00f3n <\/figcaption><\/figure><\/li><\/ul>\n\n\n\n

          Finalmente se coloc\u00f3 la corona\nprovisional atornillada a 35Ncm y se tap\u00f3 la chimenea con tefl\u00f3n y composite.\nEl provisional nos permiti\u00f3 sellar la zona del injerto y dar soporte al tejido\nblando.<\/p>\n\n\n\n

          • \"\"
            Imagen de la corona inmediata atornillada en boca<\/figcaption><\/figure><\/li>
          • \"\"

            Imagen de la corona inmediata atornillada en boca <\/figcaption><\/figure><\/li>
          • \"\"

            Imagen de la corona inmediata atornillada en boca <\/figcaption><\/figure><\/li><\/ul>\n\n\n\n

            En el control radiol\u00f3gico post-carga se comprob\u00f3 que la posici\u00f3n tridimensional del implante era la planificada y, gracias a la reconstrucci\u00f3n vestibular y la estabilizaci\u00f3n de los tejidos blandos, el perfil de emergencia conseguido era el esperado.<\/p>\n\n\n\n

            \"Imagen
            Imagen RX post-colocaci\u00f3n y carga inmediata<\/figcaption><\/figure><\/div>\n\n\n\n

            La geometr\u00eda del cuello c\u00f3nico y convergente del implante Biomimetic Iceberg, y toda su l\u00ednea prot\u00e9sica, permiten alejar la uni\u00f3n implante-pr\u00f3tesis del nivel \u00f3seo, manteniendo la estabilidad de los tejidos periimplantario y protegiendo el implante.<\/p>\n\n\n\n

            \"
            Imagen de los tejidos a los 7 d\u00edas de la intervenci\u00f3n quir\u00fargica <\/figcaption><\/figure>\n\n\n\n

            El uso de esta tipolog\u00eda de\nimplante permite mantener un perfeto sellado de los tejidos y modelar el perfil\nde emergencia desde el primer momento de la cirug\u00eda, incrementando el resultado\nest\u00e9tico final de la rehabilitaci\u00f3n. Para ello es muy importante tener en\ncuenta el tipo de enc\u00eda que tiene el paciente pensando en la fase restauradora\nfinal.<\/p>\n\t\t","protected":false},"excerpt":{"rendered":"

            \t\t\t\tEn el siguiente art\u00edculo, el Dr. Jes\u00fas L. Vilagran nos ense\u00f1a un caso con un implante uniterio Biomimetic Iceberg inmediato\t\t\t\t<\/p>\n","protected":false},"author":2,"featured_media":6329,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[37],"tags":[],"profesional_medics":[114],"segment":[170],"class_list":["post-6011","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casos-clinicos","profesional_medics-dr-jesus-lopez-vilagran","segments-implantes"],"acf":[],"yoast_head":"\nImplante unitario Biomimetic Iceberg inmediato | Avinent<\/title>\n<meta name=\"description\" content=\"Descubre, a trav\u00e9s de un claso cl\u00ednico, todo lo que ofrece el implante Biomimetic Iceberg, dise\u00f1ado para aportar soluciones quir\u00fargicas y adaptarse mejor a cualquiera de las situaciones cl\u00ednicas.\" \/>\n<meta name=\"robots\" content=\"index, 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